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HomeMy WebLinkAboutInsurance Certificate: HireRight, LLC (2)A�/20 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 06/02/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Aon Risk Insurance Services West, Inc. Los Angeles CA Office CONTACT NAME: PHONE 8662837122 FAX (800) 363-0105 (A/C. No. Ext): A/C. No.): E-MAIL ADDRESS: 707 Wilshire Boulevard Suite 2600 INSURER(S) AFFORDING COVERAGE NAIC ft Los Angeles CA 90017-0460 USA INSURED INSURER A: Arch Specialty Insurance Company 21199 Hire Right, LLC 100 Centerview Drive, suite 300 Nashville TN 37214 USA INSURERB: National Fire & Marine Ins Co 20079 INSURERC: Valley Forge Insurance Co 20508 INSURER D: American Casualty Co. of Reading PA 20427 INSURERE: Transportation Insurance Co. 20494 INSURER F: The Continental Insurance Company 35289 COVERAGES CERTIFICATE NUMBER: 570112968615 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS F X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1, 000, 000 CLAIMS -MADE � OCCUR PREMISES Ea occurrence)$1, 000, 000 MED EXP (Any one person) $15 , 000 PERSONAL& ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY ❑ PRO ❑ LOC JECT PRODUCTS - COMP/OP AGG $2,000,000 OTHER: E AUTOMOBILE LIABILITY 6083145026 06/01/2025 06/01/2026 COMBINED SINGLE LIMIT Ea accident $1, 000, 000 BODILY INJURY ( Per person) AUTO BODILY INJURY (Per accident) OWNED SCHEDULED IxANY AUTOS ONLY AUTOS HI RED AUTOS X NON -OWNED PROPERTY DAMAGE Per accident ONLY AUTOS ONLY F X UMBRELLALIAB X OCCUR 6076599220 06/01/2025 06/01/2026 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $5,000,000 DED I X RETENTION $10, 000 C WORKERS COMPENSATION AND 6083189639 06/01/2025 06/01/2026 X PER STATUTE OTH- EREMPLOYERS' LIABILITY Y/ N ADS E.L. EACH ACCIDENT $1, 000 , 000 D ANY PROPRIETOR / PARTNER / EXECUTIVE N 6083236037 06/01/2025 06/01/2026 OFFICER/MEMBER EXCLUDED, (Mandatory in NH) N/A CA E.L. DISEASE -EA EMPLOYEE $1, 000, 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1, 000, 000 B E&O - Professional Liability 42EPP31858004 11/15/2024 11/15/2025 Network security $5,000,000 - Primary Claims made SIR $1,500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder is included as Additional Insured in accordance with the policy provisions of the General Liability policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Ashland AUTHORIZED REPRESENTATIVE Attn: Kariann Olson Purchasing Representative _ An ? 90 N. Mountain Avenue e�(s�/a e/S!� Ashland OR 97520 USA a� M, N 0 n ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000077537 LOC #: A ADDITIONAL REMARKS SCHEDULE Page _ of AGENCY Aon Risk Insurance Services West, Inc. NAMEDINSURED HireRight, LLC POLICY NUMBER See Certificate Number: 570112968615 CARRIER See Certificate Number: 570112968615 NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a Policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR W VD POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YYYY) POLICY EXPIRATION DATE (MM/DD/YYYY) LIMITS WORKERS COMPENSATION E N/A 7063528346 HI 06/01/2025 06/01/2026 OTHER B Cyber Liability 42EPP31858004 Claims made SIR applies per policy to 11/15/2024 ms & conditions 11/15/2025 sublimit $5,000,000 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD